Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
Hypotension - Evaluation ... Algorithm OFTEN ... #Hypotension #Evaluation ... #Algorithm #CriticalCare ... OFTEN #Mnemonic #Checklist
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Differential Diagnosis by Classification ... β€’ Severe diarrhea ... Differential #Diagnosis #Classification ... #Table #CriticalCare
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... syndrome (IBS) sub-classifications ... lBS-diarrhoea ... of incomplete evacuation ... constipation and diarrhoea
Epistaxis Management Algorithm / Checklist

1. blow out clots 
2. vasoconstrictor spray 
3. nose clip or direct
Epistaxis Management Algorithm ... / Checklist ... coagulopathy, surgical evaluation ... Nasal #NoseBleed #Algorithm ... #Checklist #ENT
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... Algorithm Before ... evaluating hypokalemia ... Laxative use β€’ Diarrhea ... Hypokalemia #diagnosis #Algorithm
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... - Vomiting, diarrhea ... CM #Shock #Classification ... Cardiogenic #Comparison #Table
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
NG drainage - Diarrhea ... Low #Potassium #Table ... #Classification
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
protocol - POCUS evaluation ... an ultrasound evaluation ... failure Includes evaluation ... to Weil's shock classification ... Protocol #Shock #Algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Ova and Parasite evaluation ... malabsorption #Diarrhea ... Workup #Management #Algorithm
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... patients with Stable ... syndrome (ACS) evaluation ... #ISCHEMIA #Stable ... Diagnosis #Management #Algorithm